Gaston Family Health Services, INC.
Gaston Family Health Services, INC. was paid $3.43M by Medicaid between Jan 2018 and Dec 2024, across 24 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 79% of everything it billed.
GASTONIA, NC 28052
Next to other Podiatrist providers in North Carolina
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 4,443 | $332K | |
| 2019 | 5,698 | $331K | |
| 2020 | 4,956 | $363K | |
| 2021 | 10,895 | $532K | |
| 2022 | 31,018 | $474K | |
| 2023 | 41,475 | $471K | |
| 2024incomplete | 51,054 | $930K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 79% | 27,603 | 21,905 | $2.71M |
| 99199 | Unlisted special service, procedure or report | 20% | 116,459 | 70,332 | $694K |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 1,032 | 905 | $20K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 433 | 422 | $5K |
| G0071 | Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only | <1% | 96 | 93 | $2K |
| 82948 | <1% | 372 | 317 | $1K | |
| 81025 | <1% | 178 | 168 | $1K | |
| 98968 | <1% | 70 | 32 | $1K | |
| 81002 | <1% | 417 | 381 | $1K | |
| U0003 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r | <1% | 13 | 12 | $900.00 |
| 36415 | Collection of venous blood by venipuncture | <1% | 141 | 114 | $55.60 |
| 1111F | 0% | 602 | 555 | $0.00 |
12 more codes
| 3075F | 0% | 63 | $0.00 | |
| 3080F | 0% | 43 | $0.00 | |
| 3008F | 0% | 80 | $0.00 | |
| 3074F | 0% | 309 | $0.00 | |
| 3079F | 0% | 89 | $0.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 41 | $0.00 |
| 3078F | 0% | 297 | $0.00 | |
| 96160 | 0% | 76 | $0.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 155 | $0.00 |
| G9016 | Smoking cessation counseling, individual, in the absence of or in addition to any other evaluation and management service, per session (6-10 minutes) [demo project code only] | 0% | 161 | $0.00 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 0% | 751 | $0.00 |
| 3077F | 0% | 58 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.